Individual
MRS. ASHLEY B WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
19 WARDS LN, MENANDS UFSD, MENANDS, NY 12204
(518) 465-4561
Mailing address
3 BARCELONA DR, CLIFTON PARK, NY 12065
(518) 469-6511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
018999
NY
235Z00000X
Speech-Language Pathologist
Primary
ASHA12096083
—
235Z00000X
Speech-Language Pathologist
NYSLICENSE01899
NY
Other
Enumeration date
09/20/2009
Last updated
10/25/2012
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